Individual provider Active NPI

Crystal Nicole Bohse, FNP-BC

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1992344105
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009798A Issued in IN
Practice address
2200 W Main St
Richmond, IN 47374-3882
Phone
(765) 973-9294
Fax
(765) 973-9233
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009798A IN Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.022832 OH

Addresses

Primary practice location

2200 W Main St
Richmond, IN 47374-3882

Mailing address

2200 W Main St
Richmond, IN 47374-3882
Phone (765) 973-9294

Other practice location 1

1501 Chester Blvd
Richmond, IN 47374-1914
Phone (765) 935-1905

Other practice location 2

101 S 10th St
Richmond, IN 47374-5547
Phone (765) 965-4299

Other practice location 3

109 E Washington Jackson Rd Ste B
Eaton, OH 45320-9793
Phone (937) 456-2155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbohse387331@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200206002892 OH Practitioner - Nurse Practitioner 3375979586 Reassigns benefits to 3 organizations
I20200229000138 IN Practitioner - Nurse Practitioner 3375979586 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Care Community Health IncGroup PAC ID 9335576131, 13 clinicians

Practice addresses (Care Compare)

100 Mattie Harris Rd
Centerville, IN 47330-1335
Phone (765) 855-3435

2200 W Main St
Richmond, IN 47374-3882
Phone (765) 973-9294

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71009798AINMDFamily Nurse Practitioner
APRN.CNP.022832OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center, Inc. Family CurrentSince Jun 12, 2023 Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2024 Accepting new patients
Neighborhood Health Center CurrentSince Jun 12, 2023 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Mar 28, 2023 Accepting new patients
Well Care Community Health, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Well Care Community Health, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Mar 28, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

401 S US Highway 31
Austin, IN 47102
Phone (812) 227-3831

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

101 S 10th St
Richmond, IN 47374
Phone (765) 965-4299

2200 W Main St
Richmond, IN 47374
Phone (765) 973-9294

203 E Main St
Richmond, IN 47374
Phone (765) 973-9294

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

Interoperability endpoints

  • Direct secure messaging: cbohse387331@reidhealth.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1992344105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743882",
            "telephone_number": "765-973-9294",
            "fax_number": "765-973-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743882",
            "telephone_number": "765-973-9294",
            "fax_number": "765-973-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Chester Blvd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741914",
            "country_code": "US",
            "telephone_number": "765-935-1905",
            "fax_number": "765-935-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473745547",
            "country_code": "US",
            "telephone_number": "765-965-4299",
            "fax_number": "765-962-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 E Washington Jackson Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Eaton",
            "state": "OH",
            "postal_code": "453209793",
            "country_code": "US",
            "telephone_number": "937-456-2155",
            "fax_number": "937-456-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHSE",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009798A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbohse387331@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1501 Chester Blvd",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.